NPI | 1023665452 |
---|---|
Former Name | CHRISTINA TRESTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 823288) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 823288) |
207R00000X Internal Medicine (Licence: NV 823288) | |
Enumeration Date | 2019-08-21 |
Last Update Date | 2024-11-19 |